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HomeMy WebLinkAboutAndy Pease Form 700CALIFORNIA • - 1 1 STATEMENT OF ECONOMIC INTERESA_ COVER PAGE I AUG 10 2016 Please type or print in ink. NAME OF FILER (LAST) (FIRST) itfj— 1. Office, Agency, or Court Agency Name (D Division, Board, D W not use acronyms) 0000 c(I lartment, District, if applicable T1 Your Position ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) / Agency: /� Position: 31-A — 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Multi -County ........... ...... _.._-....... _. [R City of Sat yt) L d i 5 0 6; 5 P Q 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2015, through December 31, 2015. .or - The period covered is through December 31, 2015. ❑ Assuming Office: Date assumed ❑ Judge or Court Commissioner (Statewide Jurisdiction) F-1 Cnunty of ❑ Other ❑ Leaving Office: Date Left I I (Check one) O The period covered is January 1, 2015, through the date of -or- leaving office. O The period covered is through the date of leaving office. ® Candidate: Election year 2016 and office sought, if different than Part 1 4. Schedule Summary (must complete) ► Total number of pages including this cover page: Schedules attached ® Schedule A-1 - Investments — schedule attached X Schedule A-2 - Investments — schedule attached ❑ Schedule B - Real Property — schedule attached .or - 0 None - No reportable interests on any schedule ❑ Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule D - Income — Gifts — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached 5. Verification , CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) _.. .......... ................. _.. DAYTIME TELEPHONE NUMBER (2015/2016) - FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov SCHEDULE A-1 CALIFORNIA . m 700 Investments FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 100o) n��ea'��n� " 1edSe_ Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY San_Su f aer.i Cern+e-r GENERAL DESCRIPTION OF THIS BUST SSJ Sorer- cen6_(- v%cl,,d�vtoPl�i�alw��� FAIR MARKET VALUE ❑ $2,000 - $10,000 $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock 0 Other Ska w^e— (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE � / 15 / 15 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 7 $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other. (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE � j 15 /_A_ ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: � / 15 1 /1 -5 - ACQUIRED 15ACQUIRED DISPOSED Comments: ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other. (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: � /15 /15 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: — / 15 / 15 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: � / 15 _� / 15 ACQUIRED DISPOSED FPPC Form 700 (2015/2016) Sch. A-1 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov SCHEDULE A-2 CALIFORNIA FORM700 Investments, Income, and Assets FAIR POLITICAL PRACTICES COMMISSION of Business Entities/Trusts Name (Ownership Interest is 10% or Greater) 1. BUSINESS ENTITY OR TRUST 1. BUSINESS ENTITY OR TRUST Name Name Check one ❑ Trust, go to 2 ® Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS M 4, cgl e u e r o. ire. FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ® $100,001 - $1,000,000 ❑ Over $1,000,000 i NATURE OF INVESTMENT ® Partnership ❑ Sale Proprietorship ❑ T�...._..._ Other YOUR BUSINESS POSITION K.D. Pa 4y1e r -1- 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF •SS INCOME TO THE ENTITY/TRUST) ❑ $0 -$499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ® OVER $100,000 ❑ $1,001 - $10,000 b- 3, LIST THE NAME OF ••-TABLE SINGLE SOURCE OF INCOMEOF r 00 OR MORE 0 None or L7 Names listed below o. 4, INVESTMENTS ■ INTERESTS IN REAL PROPERTY■ OR LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 $100,001 - $1,000,000 ACQUIRED DISPOSED Over $1,000,000 NATURE OFINTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other. Yrs remaining ❑ Check box if additional schedules reporting investments or real property are attached FPPC Form 700 (2015/2016) Sch. A-2 FPPC Advice Email: advice@fppc.ca.gov FPPCToll-Free Helpline:866/275-3772 www.fppc.ca.gov